Summary
Indomethacin has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Rheumatoid Arthritis would be drug repurposing rather than first-in-human development. This does not mean it is approved for Rheumatoid Arthritis. No registered clinical trial in this database tests Indomethacin specifically in Rheumatoid Arthritis. The evidence below comes from published literature only, so any clinical signal has not yet been tested prospectively against this condition in a registered study. The literature layer holds 10 publications for this pair: 2 Cochrane reviews, 1 meta-analysis, 2 systematic reviews and 5 clinical trial publications. Publication years run from 1999 to 2022. Because at least one synthesis-level source exists (systematic review, meta-analysis or Cochrane review), this pair has been assessed beyond single studies, although the synthesis may concern a different indication.
The RepurpOS disease-intelligence file for Rheumatoid Arthritis ranks 544 candidate therapeutics from Open Targets, ChEMBL, DGIdb and PubMed; only a minority carry direct clinical evidence, and this page covers one of those. Spontaneous remission context recorded for the condition: 11% achieve drug-free remission (DFR) at median 74 months; most cohorts show 10-15% DFR ceiling.
Evidence table
| Evidence tier | A · Strong |
|---|---|
| Evidence score | 50.0 (trials 0.0, literature 30.0, tier 15, approved bonus 5.0) |
| Registered trials | 0 total: 0 recruiting, 0 active / not yet recruiting, 0 completed, 0 other |
| Linked publications | 10 (5 clinical trial publications, 2 Cochrane reviews, 2 systematic reviews, 1 meta-analysis) |
| Agent type | Drug (Small molecule) |
| Development stage (any indication) | Approved |
| Mechanism / class | Not recorded |
| Data sources | Open Targets, ChEMBL |
| Linked via biomarker / target | ALOX5 |
How the evidence score is calculated
- Each registered trial scores by status (recruiting / active / enrolling 3, completed 2.5, not yet recruiting 2, unknown 1, terminated / withdrawn / suspended 0.5) plus a phase bonus (phase 3-4 +2, phase 2 +1, phase 1 +0.5). The trial component is capped at 30.
- Each literature item scores by design (Cochrane review 5, meta-analysis 4, systematic review 3, RCT 3, clinical trial publication 2, curated reference 1.5, other PubMed record 1). The literature component is capped at 30.
- The existing evidence tier adds 15 (A / Strong), 10 (B / Moderate), 5 (C / Preliminary) or 0 (D / Anecdotal).
- Agents approved for any indication (max clinical phase 4) add 5, because an approved agent has an established safety profile that lowers the barrier to repurposing trials.
- The score ranks what has been studied, not what works. It does not read effect sizes or directions of effect.
Registered clinical trials
No registered trial links Indomethacin to Rheumatoid Arthritis in the current OSMF trial extract.
Published literature
- Systematic review Natural and iatrogenic ocular manifestations of rheumatoid arthritis: a systematic reviewDammacco R, Guerriero S, Alessio G et al. · International ophthalmology · 2022 · PMID 34802085
- Cochrane review Non-steroidal anti-inflammatory drugs (NSAIDs) for chronic non-cancer pain in children and adolescentsEccleston C, Cooper TE, Fisher E et al. · The Cochrane database of systematic reviews · 2017 · PMID 28770976
- Cochrane review Topical analgesics for acute and chronic pain in adults - an overview of Cochrane ReviewsDerry S, Wiffen PJ, Kalso EA et al. · The Cochrane database of systematic reviews · 2017 · PMID 28497473
- Clinical trial publication Chronotherapeutic drug delivery from indomethacin compression coated tablets for early morning pain associated rheumatoid arthritisSunil SA, Srikanth MV, Rao NS et al. · Current drug delivery · 2013 · PMID 22974284
- Systematic review Acupuncture for rheumatoid arthritis: a systematic reviewLee MS, Shin BC, Ernst E · Rheumatology (Oxford, England) · 2008 · PMID 18710899
- Clinical trial publication Effects of selective and non-selective cyclo-oxygenase inhibition on endothelial function in patients with rheumatoid arthritisWong M, Jiang BY, McNeill K et al. · Scandinavian journal of rheumatology · 2007 · PMID 17763203
- Clinical trial publication [Effect of strengthening Pi and activating blood circulation therapy on serum levels of adrenocorticotrophic hormone and vascular endothelial growth factor in rheumatoid arthritis patients]Yu JP, Zhang YZ, Li XY · Zhongguo Zhong xi yi jie he za zhi Zhongguo Zhongxiyi jiehe zazhi = Chinese journal of integrated traditional and Western medicine · 2007 · PMID 17717914
- Meta-analysis Flurbiprofen in the symptomatic management of rheumatoid arthritis: a valuable alternativeRichy F, Rabenda V, Mawet A et al. · International journal of clinical practice · 2007 · PMID 17596188
- Clinical trial publication Effects of the topical treatment with NSAIDs on corneal sensitivity and ocular surface of Sjögren's syndrome patientsAragona P, Stilo A, Ferreri F et al. · Eye (London, England) · 2005 · PMID 15184937
- Clinical trial publication Ketotifen in prevention of indomethacin-induced gastropathyNarendranathan M, Chitra P, Kurien M et al. · Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 1999 · PMID 10319538
Mechanism and notes
No mechanism of action is recorded for this pair in the source databases.
OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in Open Targets and ChEMBL, in this case via the biomarker or target ALOX5. The tier describes how well the drug-disease link is documented, not how well the drug works.
Frequently asked questions
Is Indomethacin approved for Rheumatoid Arthritis?
Indomethacin has reached the approved stage (maximum clinical phase 4) for at least one indication, so its use in Rheumatoid Arthritis would be drug repurposing rather than first-in-human development. This does not mean it is approved for Rheumatoid Arthritis. Approval status for the specific indication should always be confirmed with the relevant regulator and prescribing information.
Is Indomethacin in clinical trials for Rheumatoid Arthritis?
No registered clinical trial in this database tests Indomethacin specifically in Rheumatoid Arthritis. The evidence below comes from published literature only, so any clinical signal has not yet been tested prospectively against this condition in a registered study.
What does the evidence show for Indomethacin in Rheumatoid Arthritis?
Synthesis-level literature links Indomethacin to Rheumatoid Arthritis, but no registered trial in this database tests the pair, so the evidence is observational, pooled from other indications, or pre-dates registry practice. OSMF's existing evidence tier for this pair is A (Strong), derived from the strength of the disease association recorded in Open Targets and ChEMBL, in this case via the biomarker or target ALOX5. The tier describes how well the drug-disease link is documented, not how well the drug works.
Cite this page
Data: ClinicalTrials.gov, PubMed, Open Targets, ChEMBL, DGIdb and the OSMF therapeutic agent database. Last updated 2026-07-05. Page built 2026-10-07.